Organization Active NPI

Devine Venture Enterprises. LLC

  • Home Health Agency
  • San Antonio, TX
National Provider Identifier
1184391104
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DEVINE VENTURE ENTERPRISES. LLC
Practice address
6391 De Zavala Rd Ste 104
San Antonio, TX 78249-2144
Phone
(830) 822-3567
Fax
(210) 855-0310
NPI assigned
Aug 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Keith Reed Borie
Title
Member
Phone
(830) 822-3567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6391 De Zavala Rd Ste 104
San Antonio, TX 78249-2144

Mailing address

26015 Echo MTN
San Antonio, TX 78260-6285
Phone (830) 822-3567

Other names 1

  • San Antonio Visiting Angels Doing business as

National Provider Directory

National Provider Directory

Locations

6391 De Zavala Rd
Ste 104
San Antonio, TX 78249
Phone (830) 822-3567

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1184391104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26015 ECHO MTN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782606285",
            "telephone_number": "830-822-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6391 DE ZAVALA RD STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492144",
            "telephone_number": "830-822-3567",
            "fax_number": "210-855-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVINE VENTURE ENTERPRISES. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "BORIE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "REED",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "830-822-3567"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Antonio Visiting Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.